METHOD FOR INTESTINAL STOMA FORMATION Russian patent published in 2020 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery, coloproctology. After the laparotomy is performed on the side of presumed stoma removal, the skin and subcutaneous fat is mobilized from the midline of the abdomen and an anterior wall of rectus abdominis muscle along the length of the laparotomy wound. Mobilized skin-subcutaneous flap is formed laterally from its edge. Intersection of the intestine with a mesentery is made between the edges of a dissected aponeurosis of a white abdominal line and is brought out through a skin opening formed in the skin-subcutaneous flap. Intestine is fixed on the skin by means of an elastic hypoallergenic tube drawn through the mesentery. Abdominal cavity is closed by suturing skin edges medial to the formed stoma.

EFFECT: method provides the possibility of excretion of the intestinal stoma without mesentery tension with limited mobility of the intestinal loops, enables to prevent the disturbed blood supply in the mesentery, preserving integrity of muscular-aponeurotic structures of the abdominal cavity, reducing the length of treatment from the moment of applying stoma to its closure and improving the patient's quality of life after the operation.

1 cl, 2 dwg, 1 ex